A Case of the Pedunculated Angiomyolipoma Attached to Renal Cortex

Korean Journal of Nephrology 2007;26(3):378-381.

Hyun Jun Ju, M.D.1, Kang Won Lee, M.D.1, Yu Min Lee, M.D.1, Jeong Min Cha, M.D.1 Sung Won Jung, M.D.1, Jin Ho Shin, M.D.1 , Ju Hung Song, M.D.1 , Seon Ho Ahn, M.D.1 Il Young Seo, M.D.2, Hun Su Kim, M.D.3, Hyang Jung Cho, M.D.3 and Hae Joong Cho, M.D.4

Departments of Internal Medicine¹
Urology2 , Pathology3 and Obstertrics and Gynecology4 Wonkwang University School of Medicine, Iksan, Korea,

유경성 용종 형태로 발생된 신장 혈관근육지방종 1예

주현준1 이강원1 이유민1 차정민1 신진호1 안선호1 송주흥1 서일영2 김헌수3 조향정3 조해중4

원광대학교 의과대학 내과학교실1, 비뇨기과학 교실2, 병리학교실3, 산부인과학교실4

Abstract

A renal angiomyolipoma is uncommon congenital mixed tumor like formations consisting of blood vessel, smooth muscle cells and adipose tissue. We report a case of retroperitoneal hemorrhage from spontaneous rupture of renal angiomyolipoma in a 37 year-old woman that appeared unilateral and pedunculated attached to renal cortex. The patient presented with a clinical feature of flank pain and shock because of massive hemorrhage. Because the patient suffered from flank pain regardless of selective renal embolization, laparoscopic surgery was necessary to remove angiomyolipoma from renal cortex.

Key Words: Angiomyolipoma, Kidney cortex, Spontaneous rupture